Provider Demographics
NPI:1386858744
Name:SANTOS-SANCHEZ, IRMA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:IRMA
Middle Name:CRISTINA
Last Name:SANTOS-SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6057
Mailing Address - Street 2:CALLE 1 B-3 CONDADO MODERNO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6057
Mailing Address - Country:US
Mailing Address - Phone:787-746-3848
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1 B-3
Practice Address - Street 2:CONDADO MODERNO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-3848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9607208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice